title: Comparative study of Lapidus bunionectomy using different osteosynthesis methods.
abstract: The treatment of hallux valgus in patients with pathology of the first tarsometatarsal (TMT I) joint by fusion is an established procedure. Multiple osteosynthesis methods for the fixation of the TMT I joint are available. In comparison to the distal procedures the Lapidus bunionectomy is associated with a pseudarthrosis rate of up to 12% [9-11]. We present results after TMT-I arthrodesis using an interfragmentary screw and a plantar plate compared with an interfragmentary screw and a dorsomedial locking plate. Clinical and radiological examinations were performed preoperatively, six weeks and one year postoperatively. The AOFAS (American Orthopaedic Foot and Ankle Society) score and Visual Analogue Pain Scale (VAS) were evaluated preoperatively and 12 months after surgery. We observed a significantly increased rate of undesirable effects in mediodorsal plate positioning.
authors.affiliation: Department for Orthopaedics and Traumatology, Martin Luther University, Halle Wittenberg, Magdeburger Straße 22, 06112 Halle, Germany. Electronic address: natalia@gutteck.com.
authors.forename: N
authors.initials: N
authors.lastname: Gutteck
authors.forename: D
authors.initials: D
authors.lastname: Wohlrab
authors.forename: A
authors.initials: A
authors.lastname: Zeh
authors.forename: F
authors.initials: F
authors.lastname: Radetzki
authors.forename: K-S
authors.initials: KS
authors.lastname: Delank
authors.forename: S
authors.initials: S
authors.lastname: Lebek
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D001174:Arthrodesis / Q000295:instrumentation* / Q000379:methods; D001860:Bone Plates; D001863:Bone Screws; D005260:Female; D033023:Foot Joints / Q000000981:diagnostic imaging / Q000601:surgery*; D006215:Hallux Valgus / Q000000981:diagnostic imaging / Q000601:surgery*; D006801:Humans; D008297:Male; D008682:Metatarsal Bones / Q000000981:diagnostic imaging / Q000601:surgery*; D008875:Middle Aged; D010027:Osteotomy; D011446:Prospective Studies; D011859:Radiography; D013639:Tarsal Bones / Q000000981:diagnostic imaging / Q000601:surgery*; D064232:Visual Analog Scale; D055815:Young Adult
keywords: Arthrodesis; Hallux valgus; Lapidus bunionectomy; Tarsometatarsal joint